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1.
Phys Chem Chem Phys ; 26(24): 16972-16979, 2024 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-38842057

RESUMO

This paper introduces out-of-focus spatial map imaging (SMI) as a detection method for magnetic deflection of molecular/cluster beams, using Nam(NH3)n to illustrate its capabilities. This method enables imaging of the complete spatial distribution, simplifying measurements and allowing for cluster-size-resolved analysis by shifting away from traditional in-focus SMI conditions. Incorporating out-of-focus SMI with TOF-MS and velocity map imaging into a single setup allows for direct assessment of clusters' magnetic moments without needing to pre-select velocities. Key findings include a slower relaxation for Na(NH3)4 compared to Na(NH3)3 and Na(NH3)5, unexpectedly high deflection for larger clusters up to Na(NH3)9, hinting at changes in cluster dynamics as the first solvation shell closes. The study also covers the first measurements of Na2(NH3)1 and Na3(NH3)n, showing distinct deflection behaviors and underscoring the improved capabilities of the new detection method.

2.
Epidemiol Infect ; 147: e130, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30868985

RESUMO

In Brazil, rabies surveillance is based on monitoring domestic and wild animals, although the most prevalent lineage of the rabies virus (RABV) currently diagnosed in Brazil is associated with bats, particularly non-haematophagous bats. Disease control is based on the mass vaccination of dogs and cats. We used data collected by the passive surveillance system of the city of Campinas from 2011 to 2015, to describe the temporal and geographic distributions of the bat specimens and RABV and discuss the current rabies surveillance with the advent of the declaration of canine and feline rabies-free areas in Brazil. We described the species, locations and health statuses of the collected bat specimens. Moreover, all samples were submitted for RABV diagnosis. Then, we performed a time series decomposition for each bat family. Additionally, we determined the spatiotemporal relative risk for RABV infection using the ratio of the kernel-smoothed estimates of spatiotemporal densities of RABV-positive and RABV-negative bats. From the 2537 bat specimens, the most numerous family was Molossidae (72%), followed by Vespertilionidae (14%) and Phyllostomidae (13%). The bat families behaved differently in terms of seasonal and spatial patterns. The distribution of bats varied geographically in the urban environment, with Molossidae and Phyllostomidae being observed downtown and Vespertilionidae being observed in peripheral zones. Concurrently, a significant relative risk of RABV infection was observed downtown for Vespertilionidae and in peripheral zones for Molossidae. No RABV-positive sample clusters were observed. As a result of the official declaration of RABV-free areas in southern Brazil, mass dog and cat vaccinations are expected to halt in the near future. This stoppage would make most dog and cat populations susceptible to other RABV lineages, such as those maintained by non-haematophagous bats. In this scenario, all information available on bats and RABV distribution in urban areas is essential. Currently, few studies have been conducted. Some local health authorities, such as that in Campinas, are spontaneously basing their surveillance efforts on bat rabies, which is the alternative in reality scenario of increased susceptibility to bat-associated RABV that is developing in Brazil.


Assuntos
Distribuição Animal , Quirópteros/virologia , Vírus da Raiva/isolamento & purificação , Raiva/veterinária , Animais , Brasil/epidemiologia , Cidades , Feminino , Humanos , Masculino , Vigilância da População , Raiva/epidemiologia , Raiva/prevenção & controle , Especificidade da Espécie , Fatores de Tempo , Zoonoses
3.
Antiviral Res ; 158: 127-134, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30059721

RESUMO

The European Virus Archive (EVA) was created in 2008 with funding from the FP7-EU Infrastructure Programme, in response to the need for a coordinated and readily accessible collection of viruses that could be made available to academia, public health organisations and industry. Within three years, it developed from a consortium of nine European laboratories to encompass associated partners in Africa, Russia, China, Turkey, Germany and Italy. In 2014, the H2020 Research and Innovation Framework Programme (INFRAS projects) provided support for the transformation of the EVA from a European to a global organization (EVAg). The EVAg now operates as a non-profit consortium, with 26 partners and 20 associated partners from 21 EU and non-EU countries. In this paper, we outline the structure, management and goals of the EVAg, to bring to the attention of researchers the wealth of products it can provide and to illustrate how end-users can gain access to these resources. Organisations or individuals who would like to be considered as contributors are invited to contact the EVAg coordinator, Jean-Louis Romette, at jean-louis.romette@univmed.fr.


Assuntos
Arquivos , Bancos de Espécimes Biológicos/organização & administração , Recursos em Saúde/organização & administração , Vírus , Pesquisa Biomédica , Europa (Continente) , Humanos , Disseminação de Informação , Organizações de Serviços Gerenciais , Coronavírus da Síndrome Respiratória do Oriente Médio , Saúde Pública , Controle de Qualidade , Segurança/normas , Virologia/métodos , Febre Amarela/epidemiologia , Febre Amarela/virologia , Infecção por Zika virus/epidemiologia , Infecção por Zika virus/virologia
5.
Genome Announc ; 3(5)2015 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-26404594

RESUMO

The free-living amoeba Balamuthia mandrillaris is a rare but highly lethal agent of amoebic encephalitis in humans and many other mammalian species. Here, we announce the first draft genome sequence of the original 1990 isolate cultured from the brain of a deceased mandrill baboon.

6.
Genome Announc ; 3(4)2015 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-26205867

RESUMO

In 2013, contaminated liquid soap was detected by routine microbiological monitoring of consumer products through state health authorities. Because of its high load of Klebsiella oxytoca, the liquid soap was notified via the European Union Rapid Alert System for Dangerous Non-Food Products (EU-RAPEX) and recalled. Here, we present two draft genome sequences and a summary of their general features.

7.
Br J Dermatol ; 173(2): 535-9, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25641516

RESUMO

Cowpox viruses are orthopoxviruses that may survive in the environment for years. Rodents are regarded as the primary hosts, but transmission to other species has been reported. This report describes a cowpox virus infection in a cat with subsequent transmission to its owner leading to protracted, atypical and severe clinical signs. A young cat presented with multiple crusts and plaques on the neck, muzzle and tail base. The owner developed an erythematous lesion with elevated margins, central necrosis and crust formation below the left breast, a neurogenic inflammation, enlarged regional lymph nodes, a colliquative lymphadenitis and concomitant flu-like symptoms. Cultures were taken at the first visit from the cat's lesional skin and the patient's skin, and polymerase chain reaction with sequencing of the haemagglutinin region of both were positive for cowpox virus. The patient was treated with various antibiotics and methylprednisolone and was in clinical remission after 7 months.


Assuntos
Varíola Bovina/transmissão , Linfadenite/virologia , Inflamação Neurogênica/virologia , Adulto , Animais , Animais Domésticos , Axila , Gatos , Vírus da Varíola Bovina/genética , Vírus da Varíola Bovina/isolamento & purificação , DNA Viral/isolamento & purificação , Feminino , Humanos
8.
Euro Surveill ; 18(8)2013 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-23449231

RESUMO

On 24 October 2012, a patient with acute respiratory distress syndrome of unknown origin and symptom onset on 5 October was transferred from Qatar to a specialist lung clinic in Germany. Late diagnosis on 20 November of an infection with the novel Coronavirus (NCoV) resulted in potential exposure of a considerable number of healthcare workers. Using a questionnaire we asked 123 identified contacts (120 hospital and three out-of-hospital contacts) about exposure to the patient. Eighty-five contacts provided blood for a serological test using a two-stage approach with an initial immunofluorescence assay as screening test, followed by recombinant immunofluorescence assays and a NCoV-specific serum neutralisation test. Of 123 identified contacts nine had performed aerosol-generating procedures within the third or fourth week of illness, using personal protective equipment rarely or never, and two of these developed acute respiratory illness. Serology was negative for all nine. Further 76 hospital contacts also tested negative, including two sera initially reactive in the screening test. The contact investigation ruled out transmission to contacts after illness day 20. Our two-stage approach for serological testing may be used as a template for similar situations.


Assuntos
Busca de Comunicante , Infecções por Coronavirus/diagnóstico , Coronavirus/isolamento & purificação , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Síndrome do Desconforto Respiratório/etiologia , Coronavirus/genética , Coronavirus/imunologia , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Diagnóstico Tardio , Notificação de Doenças , Feminino , Técnica Indireta de Fluorescência para Anticorpo , Alemanha , Pessoal de Saúde/estatística & dados numéricos , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Testes de Neutralização , Exposição Ocupacional , Catar , Reação em Cadeia da Polimerase em Tempo Real , Síndrome do Desconforto Respiratório/epidemiologia , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Inquéritos e Questionários , Viagem , Resultado do Tratamento
9.
Euro Surveill ; 17(49)2012 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-23231891

RESUMO

We present a rigorously validated and highly sensitive confirmatory real-time RT-PCR assay (1A assay) that can be used in combination with the previously reported upE assay. Two additional RT-PCR assays for sequencing are described, targeting the RdRp gene (RdRpSeq assay) and N gene (NSeq assay), where an insertion/deletion polymorphism might exist among different hCoV-EMC strains. Finally, a simplified and biologically safe protocol for detection of antibody response by immunofluorescence microscopy was developed using convalescent patient serum.


Assuntos
Infecções por Coronavirus/diagnóstico , Coronavirus/isolamento & purificação , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos , Coronavirus/classificação , Coronavirus/genética , Infecções por Coronavirus/virologia , Imunofluorescência , Alemanha , Humanos , Laboratórios/normas , Polimorfismo de Fragmento de Restrição , RNA Viral/sangue , RNA Viral/genética , Sensibilidade e Especificidade , Análise de Sequência de DNA , Virologia/métodos
11.
J Clin Virol ; 47(3): 219-23, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20106717

RESUMO

BACKGROUND: Human rhinoviruses (HRVs) are associated with more acute respiratory tract infections than any other viral group yet we know little about viral diversity, epidemiology or clinical outcome resulting from infection by strains, in particular the recently identified HRVs. OBJECTIVES: To determine whether HRVC-QCE was a distinct HRV-C strain, by determining its genome and prevalence, by cataloguing genomic features for strain discrimination and by observing clinical features in positive patients. STUDY DESIGN: Novel real-time RT-PCRs and retrospective chart reviews were used to investigate a well-defined population of 1247 specimen extracts to observe the prevalence and the clinical features of each HRV-QCE positive case from an in- and out-patient pediatric, hospital-based population during 2003. An objective illness severity score was determined for each HRVC-QCE positive patient. RESULTS: Differences in overall polyprotein and VP1 binding pocket residues and the predicted presence of a cis-acting replication element in 1B defined HRVC-QCE as a novel HRV-C strain. Twelve additional HRVC-QCE detections (1.0% prevalence) occurred among infants and toddlers (1-24 months) suffering mild to moderate illness, including fever and cough, who were often hospitalized. HRVC-QCE was frequently detected in the absence of another virus and was the only virus detected in three (23% of HRVC-QCE positives) children with asthma exacerbation and in two (15%) toddlers with febrile convulsion. CONCLUSIONS: HRVC-QCE is a newly identified, genetically distinct HRV strain detected in hospitalized children with a range of clinical features. HRV strains should be independently considered to ensure we do not overestimate the HRVs in asymptomatic illness.


Assuntos
Infecções por Picornaviridae/virologia , RNA Viral/genética , Infecções Respiratórias/virologia , Rhinovirus/classificação , Rhinovirus/isolamento & purificação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Sequência de Aminoácidos , Criança , Pré-Escolar , Análise por Conglomerados , Tosse/etiologia , Feminino , Febre/etiologia , Genótipo , Hospitalização , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Epidemiologia Molecular , Dados de Sequência Molecular , Infecções por Picornaviridae/epidemiologia , Infecções por Picornaviridae/patologia , Prevalência , Sons Respiratórios/etiologia , Infecções Respiratórias/epidemiologia , Infecções Respiratórias/patologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Análise de Sequência de DNA , Homologia de Sequência , Adulto Jovem
12.
Rev. argent. reumatol ; 21(4): 8-16, 2010. graf
Artigo em Espanhol | LILACS | ID: lil-590915

RESUMO

El compromiso axial, característico de la Espondilitis Anquilosante (EA), puede también presentarse en pacientes con diagnóstico de Artritis Psoriásica (APs). El objetivo del presente estudio fue describir las características diferenciales de pacientes con diagnóstico de EA pura comparados con los pacientes con APs y compromiso axial asociado, ingresados en el Registro Iberoamericano de Espondiloartropatías (SpA) (RESPONDIA-Argentina). Pacientes y métodos: Se seleccionaron aquellos pacientes que cumplían criterios de Nueva York modificados, pertenecientes a la cohorte prospectiva, observacional y multicéntrica de SpA en Argentina (RESPONDIA-Argentina), que acudieron a la consulta ambulatoria entre junio y diciembre del 2006. Los datos fueron extraídos online de la base REGISPONSER. Se recolectaron datos de actividad de la enfermedad, status funcional, características clínicas y radiológicas, tratamiento y calidad de vida, mediante herramientas validadas.Análisis estadístico: Para la comparación de datos categóricos se utilizó el Test de Chi Cuadrado o Test Exacto de Fisher y para las variables continuas el Test de Student y Test de Mann-Whitney. Se consideró significativa una p <0,05. Resultados: Se incluyeron 140 pacientes, 86 (61,4%) presentaban diagnóstico de EA y 54 (38,6%) Espondilitis Psoriásica (EPs). El tiempo de evolución de la enfermedad fue comparable en ambos grupos (mediana 3 vs. 5,5 años, respectivamente). En pacientes con diagnóstico de EA predominó en forma significativa el sexo masculino 88% vs. 48,1% (p <0,05), el antecedente de lumbalgia 81,4% vs. 51,9% (p <0,05), la presencia de síndrome sacroilíaco 52,3% vs. 33,3% (p <0,05), el antecedente de historia familiar de SpA 23,4% vs. 7,7% (p <0,05) y el compromiso moderado de caderas 20,9% vs. 2,1%(p<0,05)...


Axial involvement, characteristic feature of Ankylosing Spondylitis(AS), can also be present in patients with Psoriatic Arthritis (PsA).Purpose: To describe differential characteristics of the axial involvementin AS as compared with that seen in PsA patients. Patients and methods: Consecutive Spondyloarthritis (SpA) patients attending ambulatory care in 11 rheumatology services locatedin 6 different Argentine provinces between June and December2006 were enrolled. Patients were diagnosed in accordance to the classification criteria of the European Spondyloarhtropathy Study Group (ESSG), and were included in a prospective, observational and multi-centre cohort of SpA in Argentina (RESPONDIAArgentina). Data were collected, transmitted on-line and stored in the Spanish SpA Registry (REGISPONSER) website. Demographic,disease activity and functional status, clinical forms, treatment and quality of life data were collected by means of validated tools. For this analysis, patients were selected only if they met modified New York criteria for AS.Statistical analysis: Categorical...


Assuntos
Artrite Psoriásica , Psoríase , Espondilite , Espondilite Anquilosante
13.
Ecohealth ; 6(2): 239-49, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19915916

RESUMO

Mosquito-borne infections cause some of the most debilitating human diseases, including yellow fever and malaria, yet we lack an understanding of how disease risk scales with human-driven habitat changes. We present an approach to study variation in mosquito distribution and concomitant viral infections on the landscape level. In a pilot study we analyzed mosquito distribution along a 10-km transect of a West African rainforest area, which included primary forest, secondary forest, plantations, and human settlements. Variation was observed in the abundance of Anopheles, Aedes, Culex, and Uranotaenia mosquitoes between the different habitat types. Screening of trapped mosquitoes from the different habitats led to the isolation of five uncharacterized viruses of the families Bunyaviridae, Coronaviridae, Flaviviridae, and Rhabdoviridae, as well as an unclassified virus. Polymerase chain reaction screening for these five viruses in individual mosquitoes indicated a trend toward infection with specific viruses in specific mosquito genera that differed by habitat. Based on these initial analyses, we believe that further work is indicated to investigate the impact of anthropogenic landscape changes on mosquito distribution and accompanying arbovirus infection.


Assuntos
Culicidae/virologia , Ecossistema , Insetos Vetores/virologia , Vírus de RNA/isolamento & purificação , África Ocidental , Animais , Humanos , Reação em Cadeia da Polimerase , Vigilância da População , Vírus de RNA/genética , Árvores , Clima Tropical
14.
J Clin Virol ; 45(1): 10-5, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19376742

RESUMO

BACKGROUND: Human rhinoviruses (HRVs) are often concurrently detected with other viruses found in the respiratory tract because of the high total number of HRV infections occurring throughout the year. This feature has previously relegated HRVs to being considered passengers in acute respiratory infections. HRVs remain poorly characterized and are seldom included as a target in diagnostic panels despite their pathogenic potential, infection-associated healthcare expenditure and relatively unmoderated elicitation of an antiviral state. OBJECTIVES: To test the hypothesis that respiratory viruses are proportionately more or less likely to co-occur, particularly the HRVs. STUDY DESIGN: Retrospective PCR-based analyses of 1247 specimens for 17 viruses, including HRV strains, identified 131 specimens containing two or more targets. We investigated the proportions of co-detections and compared the proportion of upper vs. lower respiratory tract presentations in the HRV positive group. Both univariate contingency table and multivariate logistic regression analyses were conducted to identify trends of association among the viruses present in co-detections. RESULTS: Many of the co-detections occurred in patterns. In particular, HRV detection was associated with a reduced probability of detecting human adenoviruses, coronaviruses, bocavirus, metapneumovirus, respiratory syncytial virus, parainfluenza virus, influenza A virus, and the polyomaviruses KIPyV and WUPyV (p < or = 0.05). No single HRV species nor cluster of particular strains predominated. CONCLUSIONS: HRVs were proportionately under-represented among viral co-detections. For some period, HRVs may render the host less likely to be infected by other viruses.


Assuntos
Infecções por Picornaviridae/virologia , Infecções Respiratórias/virologia , Rhinovirus/isolamento & purificação , Viroses/virologia , Doença Aguda/epidemiologia , Adolescente , Adulto , Análise de Variância , Criança , Pré-Escolar , Interpretação Estatística de Dados , Feminino , Humanos , Lactente , Masculino , Nasofaringe/virologia , Infecções por Picornaviridae/epidemiologia , Reação em Cadeia da Polimerase , Análise de Regressão , Infecções Respiratórias/epidemiologia , Estudos Retrospectivos , Viroses/epidemiologia , Vírus/isolamento & purificação
17.
Gen Comp Endocrinol ; 150(1): 140-50, 2007 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-16945369

RESUMO

Transition from previtellogeneic to vitellogenic oocyte growth is a critical phase for folliculogenesis in sturgeon and may often be postponed for several years. Recent findings on the involvement of insulin-like growth factor I (IGF-I) in cell differentiation processes of oocyte follicle and ovarian steroidogenesis of teleosts in vitro led to the hypothesis that paracrine IGF-I could function as a potential trigger in vivo. For the first time, IGF-I and its corresponding receptor (IGF-IR) were identified in a non-teleostean fish. Real-time PCR assays for IGF-I and IGF-IR mRNA were established, normalising mRNA expression of the target genes to beta-microglobulin (beta2m). We clearly show that expression of IGF-I in the gonad is a substantial source for IGF-I-mediated effects in follicles compared to liver, brain, muscle and adipose tissue. Among these tissues, IGF-IR mRNA was highest in the gonad. With regard to different cohorts of coexisting follicles, highest expression of IGF-I and IGF-IR were met in developing follicles, indicating that IGF-I functions as an intraovarian modulator of follicle faith. Comparing previtellogenic follicles in females that matured within two years with non-maturing females f the same age, revealed an increases of 2.3-fold for IGF-I and 2.8-fold for IGF-IR mRNA expression in maturing females. These findings implicate an important role of paracrine IGF-I in early vitellogenesis and identify it as candidate vitellogenesis inducing factor (VIF), determining the faith of the follicle.


Assuntos
Peixes/fisiologia , Fator de Crescimento Insulin-Like I/fisiologia , Maturidade Sexual/fisiologia , Vitelogênese/fisiologia , Animais , Sequência de Bases , Feminino , Peixes/genética , Regulação da Expressão Gênica , Fator de Crescimento Insulin-Like I/genética , Dados de Sequência Molecular , Ovulação/fisiologia , RNA Mensageiro/análise , Receptor IGF Tipo 1/genética , Receptor IGF Tipo 1/metabolismo , Homologia de Sequência , Especificidade da Espécie
18.
Rev. argent. reumatol ; 18(2): 26-31, 2007. graf
Artigo em Espanhol | LILACS | ID: lil-516772

RESUMO

Objetivo: Determinar la influencia de factores sociodemográficos en las manifestaciones clínicas, actividad de la enfermedad, estado funcional y calidad de vida de pacientes con artritis psoriásica (APs). Métodos: Se incluyeron 148 pacientes con APs reclutados de varios centros de reumatología de Argentina. Se determinaron factores sociodemográficos: edad, sexo, raza, nivel de educación, fuentes de ingreso personal, escala de Graffar y clases sociales. Al inicio de la enfermedad se evaluaron las siguientes variables: edad al inicio, duración de la enfermedad, manifestaciones clínicas y forma clínica de presentación. La actividad de la enfermedad fue evaluada mediante número de articulaciones activas, escala visual análoga (EVA) global del paciente y BASDAI. El estado funcional y la calidad de vida de los pacientes se determinó por medio de BASFI, ASQoL y SF-12 (Versión 1.0). Para el análisis estadístico de los datos obtenidos se utilizó test de Chi-cuadrado, test exacto de Fisher y test de Kruskal-Wallis. Resultados: De los 148 pacientes, 58,8% fueron mujeres con una edad media al inicio de la enfermedad de 53,2 ± 13,6 años y una duración media de enfermedad de 9,3 ± 8,9 años. La edad al inicio, el sexo, la raza y la escala de Graffar no estuvieron asociados con manifestaciones clínicas, actividad de la enfermedad, estado funcional y calidad de vida


Assuntos
Artrite Psoriásica , Artrite Psoriásica/economia , Artrite Psoriásica/epidemiologia , Artrite Psoriásica/etnologia , Psoríase , Qualidade de Vida
19.
Arch Virol ; 150(5): 1023-31, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15645376

RESUMO

In order to define and characterize target cells of SARS-coronavirus (SARS-CoV) we studied the susceptibility of 23 different permanent and primary eukaryotic cell lines to SARS-coronavirus. Beneath Vero E6 cells SARS- Coronavirus infection could also be demonstrated in two pig cell lines (POEK, PS) and one human cell line (Huh-7) using the indirect immunofluorescence assay and a newly established quantitative real-time PCR. In all susceptible cell lines mRNA of the Angiotensin-converting enzyme 2 (ACE2), the functional receptor for SARS-CoV infection, could be detected by RT-PCR. Our results show that there is a correlation between the abundance of ACE2 mRNA and SARS-CoV susceptibility.


Assuntos
Células Eucarióticas/virologia , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave/patogenicidade , Enzima de Conversão de Angiotensina 2 , Animais , Carboxipeptidases/genética , Carboxipeptidases/metabolismo , Gatos , Linhagem Celular , Chlorocebus aethiops , Humanos , Camundongos , Peptidil Dipeptidase A , Receptores Virais/genética , Receptores Virais/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave/genética , Coronavírus Relacionado à Síndrome Respiratória Aguda Grave/fisiologia , Suínos , Células Vero
20.
Bone Marrow Transplant ; 32(7): 695-701, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-13130317

RESUMO

Since the incidence of cytomegalovirus (CMV) infections after hematopoietic stem cell transplantation (HSCT) may depend on the intensity of the pretreatment, we studied the incidence of CMV infections after reduced-intensity compared to myeloablative conditioning. A total of 82 patients with matched related or unrelated donors were prospectively monitored for CMV infections after HSCT by CMV-PCR techniques, CMV-antigenemia and clinical observation. A total of 45 patients received reduced-intensity conditioning consisting of fludarabine, busulfan and ATG and 37 patients received myeloablative conditioning. Leukocyte engraftment occurred after a median of 15 vs 18 days (P=0.012) and platelet engraftment after 12 days vs 20 days (P=0.001), respectively. Acute graft-versus-host disease (GVHD) grade II-IV was observed in 58 vs 54% patients (P=0.737), respectively. The onset and peak values of CMV-antigenemia and DNAemia and the incidence of CMV infections did not differ statistically significantly between the two treatment groups. Multivariate analysis confirmed CMV seropositivity of the recipient (P=0.035), acute GVHD II-IV (P=0.001) but not the type of conditioning as significant risk factors for CMV-antigenemia. In conclusion, the kinetics of CMV-antigenemia and DNAemia and the incidence of CMV infections were not statistically different in patients who received HSCT after reduced-intensity conditioning with fludarabine, busulfan and ATG compared to myeloablative conditioning.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Infecções por Citomegalovirus/diagnóstico , Infecções por Citomegalovirus/etiologia , Transplante de Células-Tronco de Sangue Periférico/efeitos adversos , Condicionamento Pré-Transplante/métodos , Adolescente , Adulto , Infecções por Citomegalovirus/mortalidade , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transplante de Células-Tronco de Sangue Periférico/mortalidade , Fosfoproteínas/sangue , Reação em Cadeia da Polimerase , Probabilidade , Fatores de Risco , Condicionamento Pré-Transplante/efeitos adversos , Condicionamento Pré-Transplante/mortalidade , Condicionamento Pré-Transplante/normas , Transplante Homólogo , Resultado do Tratamento , Proteínas da Matriz Viral/sangue
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